SHR-A1811 for HER2-positive Breast Cancer With Suboptimal Neoadjuvant Response
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- The protocol lists: SHR-A1811.
- Who it may be relevant to
- Registry conditions: Early Breast Cancer, HER2 + Breast Cancer, Stage II Breast Cancer, Stage III Breast Cancer. Basic parameters: 18 years — 70 years · Female.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Center list to be confirmed — check the primary protocol.
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
Unsure about the terms? Read our patient guide →
Official title
An Open-label, Single-arm, Multicenter Study of SHR-A1811 as Neoadjuvant Therapy in HER2-positive Breast Cancer Patients With Suboptimal Neoadjuvant Response
Overview
This is an open-label, single-arm, multicenter clinical study to evaluate the efficacy and safety of SHR-A1811 in early or locally advanced HER2-positive breast cancer patients with suboptimal response to neoadjuvant regimen. Patients who were determined by the researchers to have poor therapeutic effect will switch to SHR-A1811.
Detailed description
Patients will receive SHR-A1811, until completion or treatment discontinuation due to progression, toxicity, or withdrawal. The primary endpoint is tpCR (ypT0/is ypN0). Secondary endpoints include bpCR, RCB, EFS, and safety. The study will recruit 30 eligible patients from multiple centers in China.
Interventions
- Drug SHR-A1811
Drug: SHR-A1811 4.8mg/kg
Primary outcome measures
- tpCR [Time frame: immediately after surgery]
Secondary outcome measures (3)
- Breast Pathological Complete Response [Time frame: immediately after surgery]
- event free survival [Time frame: until the end of the study]
- residual cancer burden [Time frame: immediately after surgery]
Eligibility criteria
Inclusion criteria
- 1.Female patients with newly diagnosed breast cancer aged 18 to 70 years old;
- 2.Early or locally advanced HER2-positive invasive breast cancer;
- 3.Known hormone receptor status;
- 4.ECOG score of 0-1;
- 5.Patients who were determined by the researchers to have poor therapeutic effect after 4 cycles of neoadjuvant therapy;
- 6.Organ function levels must meet the following requirements:
- 7.Women of childbearing age must undergo a serum pregnancy test within 7 days before enrollment, with a negative result, and be willing to use a medically approved highly effective contraceptive method during the study and within 3 months after the last administration of the study drug.
- 8.The subjects voluntarily participate in this study and sign the informed consent form.
Exclusion criteria
- 1\. Patients with metastatic or bilateral breast cancer, or inflammatory breast cancer
- 2\. Patients with grade 3 or higher thrombocytopenia during previous treatment, or grade 3 or higher nausea and vomiting despite primary prevention
- 3\. History of other malignant tumors (except cured carcinoma in situ of the cervix, basal cell carcinoma, etc.) and related treatment history
- 4\. Patients who received major non-breast cancer surgery within 4 weeks before enrollment and have not recovered (except biopsy and PICC)
- 5\. Autoimmune diseases (except special cases such as hypothyroidism and stable type 1 diabetes)
- 6\. Interstitial lung disease, non-infectious pneumonia, uncontrolled systemic diseases
- 7\. History of or planned administration of live attenuated vaccines within 28 days
- 8\. HIV infection, active hepatitis (hepatitis B, hepatitis C, etc.), autoimmune hepatitis
- 9\. Severe infection within 4 weeks, CTCAE grade ≥ 2 active infection within 2 weeks (except neoplastic fever), or evidence of active tuberculosis within 1 year
- 10\. History of allogeneic bone marrow or solid organ transplantation
- 11\. Peripheral neuropathy of grade ≥ 2
- 12\. Severe heart diseases
- 13\. Receipt of systemic immunostimulant therapy within 4 weeks
- 14\. Receipt of systemic immunosuppressant therapy within 2 weeks (except local or physiological dose of hormones)
- 15\. Allergy to study drugs/excipients, or history of severe allergic reaction to other monoclonal antibodies
- 16\. Pregnant or lactating women; fertile women with positive pregnancy test or unwilling to take effective contraception throughout the trial
- 17\. History of neurological/psychiatric disorders , or history of substance abuse, alcoholism, or drug addiction
- 18\. Other circumstances deemed unsuitable for enrollment by the researcher
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Allocation
- N/A
- Model
- Single group
- Masking
- Open label
- Primary purpose
- Treatment
Study locations
Center list to be confirmed — check the primary protocol.
Identifiers
NCT: NCT07129187 · MA-BC-II-124